中国实用外科杂志Issue(4)：314-317,4.
继发性甲状旁腺功能亢进外科治疗
Surgical treatment of secondary hyperparathyroidism
代文杰 1徐德全1
作者信息
- 1. 哈尔滨医科大学附属第一医院甲状腺乳腺细胞移植外科，黑龙江哈尔滨150001
- 折叠
摘要
Abstract
Secondary hyperparathyroidism (SHPT) refers to a derangement in calcium homeostasis leading to a compensatory increase in parathyroid hormone (PTH) secretion. Most SHPT patients depend on medication. SHPT requiring parathyroidectomy (PTx) occurs more commonly in progressive chronic kidney disease (CKD) and in long-term lithium therapy. At present, after thoughtful review which procedure is the most suitable operative procedure for patients with advanced SHPT still can’t be determined. The decision may depend on the surgeon's preference and the clinical status of the patients. Important patient issues in choosing a specific procedure is whether the patient is a candidate for kidney transplantation, patient age, expected survival after PTx, and the patient's ability to obtain and comply with medication. For patients who require long-term hemodialysis after PTx, the risk for recurrence is not negligible, as it is easier and safer to remove residual parathyroid tissue from the forearm at recurrence as compared with a neck reexploration. Thus, total PTx with forearm autograft is the preferred option in a patient who has to continue hemodialysis for long periods after PTx.关键词
继发性甲状旁腺功能亢进/甲状旁腺切除术Key words
secondary hyperparathyroidism/parathyroidecto-my分类
医药卫生引用本文复制引用
代文杰,徐德全..继发性甲状旁腺功能亢进外科治疗[J].中国实用外科杂志,2014,(4):314-317,4.
